Perspectives on treatment with irradiation in Slovenia
Abstract
Background: Radiotherapy is one of the three main modalities of cancer treatment. However, effective treatment with radiotherapy may only be assured by highly advanced irradiation facilities, including systems for planning, performing and quality control of irradiation. The second requirement assuring an effective treatment is proper capacities of treatment units and computer equipment to provide a timely access to treatment to > 50 % of all cancer patients and a proper structure and number of staff specialized in handling with radiotherapy equipment. In Slovenia, only 38 % of cancer patients are treated with radiotherapy. In general, the waiting times of patients referred to radiotherapy are too long. Therefore, further development and upgrading of irradiation facilities will remain a priority in oncology in Slovenia also in the future. At the same time, in our endeavors to meet the set goals, we have been facing unforeseen problems both with human resources and inadequate financial appreciation of radiotherapeutic services that, without significant national aid, do not yield sufficient funds for renewal and upgrading of equipment and its further expansion.
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References
SBU – The Swedish Council on Technology Assessment in Health Care. Systematic overview of radiotherapy for cancer including a prospective survey of radiotherapy practice in Sweden 2001. Acta Oncol 2003; 42: 357–619.
Pennam A, Barton M. Access to radiotherapy: the gap between policy and practice. Cancer Forum 2002; 26: 73–6.
Delaney G, Jacob S, Featherstone C, Barton M. The role of radiotherapy in cancer treatment. Estimating optimal utilization from a review of evidence-based clinical guidelines. Cancer 2005; 104: 1129–37.
Mackillop WJ, Fu H, Quirt CF, Dixon P, Brundage M, Zhou Y. Waiting for radiotherapy in Ontario. Int J Radiat Oncol Biol Phys 1994; 30: 221–8.
Mackillop WJ. Killing time: the consequences of delays in radiotherapy. Radiother Oncol 2007; 84: 1–4.
Esco R, Palacios A, Pardo J, Biete A, Carceller JA, Veiras C, et al for the Spanish Society for Radiotherapy and Oncology (AERO). Infrastructure of radiotherapy in Spain: a minimal standard of radiotherapy resources. Int J Radiat Oncol Biol Phys 2003; 56: 319–27.
Porter A, Aref A, Chodounsky Z, Elzawawy A, Manatrakul N, Ngoma T, et al. A global strategy for radiotherapy: a WHO consultation. Clin Oncol 1999; 11: 368–70.
Bentzen SM, Heeren G, Cottier B, Slotman B, Glimelius B, Lievens Y, et al. Towards evidence-based guidelines for radiotherapy infrastructure and staffing needs in Europe: the ESTRO QUARTS project. Radiother Oncol 2005; 75: 355–65.
Slotman BJ, Cottier B, Bentzen SM, Heeren G, Lievens Y, van den Bogaert W. Overview of national guidelines for infrastructure and staffing of radiotherapy. ESTRO-QUARTS: Work package 1. Radiother Oncol 2005; 75: 349–54.
Board of the faculty of clinical oncology. Equipment, workload and staffing for radiotherapy in the UK 1997–2002. London: Royal College of Radiologists; 2003.
Onkološki inštitut. Poročilo o obremenitvah specialistov na Onkološkem inštitutu za leto 2006 (interno gradivo). Ljubljana: Onkološki inštitut; 2007.
International Atomic Energy Agency. End of mission report on Mission by Quality Assurance Team for Radiation Oncology (QUATRO) to the Institute of Oncology, Ljubljana, Slovenia. 4–8 December, 2006 (Project code C3-RER/00016-46-01). Viena: IAEA, 2007.
Strojan P. Ocena potreb po radioterapevtskih zmogljivostih do leta 2010 in akcijski načrt za njihovo uresničitev. Ljubljana: Onkološki inštitut; 2005.
Fras PA. Obsevalna naprava za raka v severovzhodni Sloveniji – da ali ne? Isis 2004; 13(11): 39–41.
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